404154 (SFD)BUILDING PERMIT `
PERMIT NO. DEPARTMENT OF BUILDING & SAFETY FIELD T]:
04154
COUNTY OF RIVERSIDE
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL.
2ND. FL.
POR.
GAR.
CAR P.
WALL
ESTIMATED CONSTRUCTION
SQ. FT..@ $
UNITS
Owner
Commu ,.,J
9�•Ti ,r
SO. FT. @
YARD SPKLR SYSTEM'
SQ. FT. @ MOBILEHOME SVC.
BAR SINK
SO. FT. @ POWER OUTLET
ROOF DRAINS
SQ. FT. @
DRAINAGE PIPING
SO. FT. @
DRINKING FOUNTAIN t
SQ. FT. @
URINAL
VALUATION $
WATER PIPING
NOTE: Not to be used as property tax valuation
SWIM POOL, PVT
et Backs
FLOOR DRAIN
MECHANICAL FEES
SWIM POOL, COMM
j ',- �yi f
WATER SOFTENER
VENT SYSTEM FAN EVAP. COOL HOOD
SIGN
Electrical Fee Dbl $ Gt%
WASHER (AUTO)(DISH)
APPLIANCE DRYER
Group
Type
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
Bond Amt.
S
LAUNDRY TRAY
AIR HANDLING UNIT CFM
IDLE METER
Final Daft-
► i .- f q-- V
KITCHEN SINK
ABSORPTION SYSTEM B.T.U.
TEMP USE PERMIT SVC
Demol. Fee $
WATER CLOSET
COMPRESSOR HP
POLE, TEMP/ EP RM
Supplimentol Permit N m
v /
LAVATORY
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
Address City Zip
SHOWER
BOILER B.T.U.
SQ. FT. @ a
Owner/Agent f
BATH TUB
Tel.
SO. FT. @ c
WATER HEATER
50. FT. RESID @11 t/ac
- I
F
SEWAGE DISPOSAL
M.O. E] N.C. Cosh E] Check
SO. FT. GAR @ 3/ac
HOUSE SEWER
license#
GAS PIPING
PERMIT FEE
PERMIT FEE
r
PERMIT FEE
DBI.
TOTAL FEESMOB.
li0
HM. FEE
MICRO'FEE
MECH. FEE PL. CK. FEE
CONST. FEE
EL E
0 J
SMI FEE
FEE PLUMB. FEE
PERMIT NO.
404154f
lob Address
Space Zip
Owner
Commu ,.,J
9�•Ti ,r
Vol otion
$
Dote
/
' !'Ont: `"•
,/-'
F.
F,C.C.
MH Permit Fee S
Micro Film Fee Cop $
LsTe of
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"i—
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Parcel No. ''
Use/C se No.
Ck. By
Mach. Fee Dbl $
PI. Ck. Fee $
et Backs
to Size
Construction Fee Dbl IS
Legol Description
J G r.% �,/,/'/ !may
j ',- �yi f
Electrical Fee Dbl $ Gt%
Zone Restrictions
Group
Type
SMI Fee S
Plumbing Fee DbS
Bond Amt.
S
Plan No.
•Plbn Checker
Final Daft-
► i .- f q-- V
Inspector
Unit
Sp. Insp. Fee $
Demol. Fee $
Const. Lender
Bronch
Supplimentol Permit N m
v /
,
Registr. Fee S
Mileage Fee §
Address City Zip
Witness Fee §
Reinsp. Fee $
Owner/Agent f
Tel.
Zip
Total Fees $
Address•"'
%)
- I
F
City • Zip
M.O. E] N.C. Cosh E] Check
Received by
C n rector
license#
Trees re ved //n,•
vfige System
v
Address
City
Zip
T LL C �t P THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK
Sewer District FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.
•1 HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH
e THE LAWS OF RIVERSIDE COUNTY AND THE.STATE OF CALIFORNIA.
s 1 HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN
"��•••• �`�f —/� CO CE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.
Form 484.408 (Rev. 1/80) / -
3a
verified by:
NO.
OPERATION
DATE
INSPECTOR
NO.
OPERATION
DATE
INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
1
Set Back
33
Ventilation System
2
Ftgs & Frms
34
Plenums & Ducts
2A
Slab Grade
35
Furnace Comport.
3
Steel
36
Inlets & Outlets
4
Grout Blocks
37
Combustion Air
5
Bond Beams
38
Compressor
6
Roof Deck
39
Appl. Clearance
7
Framing
40
Fire Damper
8
Vents
41
Smoke Detection Device
9
Garage Fire Wall
42
Commercial Hood
10
Fireplace P. L.
43
Final
toA
Fireplace T. 0.
Ej
oNo
ADDITIONAL INFORMATION
SEWAGE SYSTEM SIZE & LOCATION
11 Exterior Lath
12 Internal Lath
12A Drywall
13 Finish Grade
INSULATION Thick Value
7A Walls (Botts)
12B Ceiling (Batts)
12C Ceiling (Blown)
14 Final
PLUMBING APPROVALS
15 Ground Plumb
16 Water Piping
17 Rough Plumb
18 Vents
19 Sewage Disposal '
20 Sewer
21 Water Heater
22 Water Softener
23 Water Service
24 Gas Test
25' Final
Tank Pit L. Line
REAR OF PROPERTY LINE
ELECTRICAL APPROVALS
P/L
P/
26 Power Pole
27 Conduit
28 Service Entrance
29 Wiring 11-14-90
29A Grounding Wire ._� D
29B Bonding
P0 Fixtures
31 Service
32 Final
STREET NAME ',
oVIIVII�V rGRI�111 '
PERMIT NO. • DEPARTMENT OF BUILDING & SAFETY
FIELD OFFICE DST
0 41'5 4 COUNTY OF RIVERSIDEr
CONSTRUCTION ESTIMATE
NO. ELECTRICAL -FEES
NO. PLUMBING FEES
1ST FL.
2ND. FL.
POR.
GAR.
CAR P.
WALL
ESTIMATED CONSTRUCTION
SQ. FT. .@ $
UNITS
SQ. FT. @
YARD SPKLR SYSTEM
SO. FT. @ MOBILEHOME SVC.
BAR SINK,
SQ. FT. @ POWER OUTLET.
ROOF DRAINS
SQ. FT. @ '
DRAINAGE PIPING
SQ. FT. @
-DRINKING FOUNTAIN
SO. FT. @•
URINAL
VALUATION $
WATER PIPING
' NOTE: Not to be used as property tax valuation
SWIM POOL, PVT
Set Backs
FLOOR DRAIN _
MECHANICAL FEES
SWIM POOL, COMM
Dbl g
Dist S
WATER SOFTENER
VENT SYSTEM FAN EVAP. COOL HOOD
SIGN
F' S S
WASHER (AUTO)(DISH)
APPLIANCE DRYER
t
Type '
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
Dbl $
LAUNDRY TRAY
AIR HANDLING UNIT CFM
IDLE METER -
Checker
KITCHEN SINK
ABSORPTION SYSTEM B.T.U.
TEMP USE PERMIT SVC
Sp.' Insp. Fee S
WATER CLOSET
COMPRESSOR HP
POLE, TEMP/BbRm
CS)
', LAVATORY
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
Regisir. Fee g
'SHOWER
BOILER B.T.U.
SO. FT. @ a-
Reinsp. Fee
•BATH TUB /
SQ. FT. @' a r
WATER HEATER
-
SO. FT. RESID @ 111/<a
Total Fees -
- SEWAGE DISPOSAL
�.
SO. FT. GAR @ r/44
HOUSE SEWER
Zip
M.O. 0 N.C. Cash Q Check
Received, by '
GAS PIPING r
PERMIT FEE
PERMIT FEE
Lice -ell
PERMIT FEE'
DBLTOTAL
•
FEES
Q /i
MOB. HM. FEE
MICRO FEE
MECH. FEE - Pl. CK. FEE
CONST. FEE' EL
. r
'FEE/)
0
SMI FEE
FEE PLUMB. FEE
PERMIT NO.
404154
Job Address-
-
-
Space Zip Owner
v.11
g •
s -
Date
// Jj
TCommunity Dist.
/
ff.
�•
F.C.C.
MH Permit Fee $
Micro Film Fee
Cop g
se of ermi _ '
•/
`� s/ t�� ��
/i
Parcel No. /�
., hC!�
1J
Use/Cole No.
Ck. By
sj
Mech. Fee Obl g
PI. Ck. Fee S
Set Backs
lot Siie
Construction Fee
Electrical Fee
Dbl g
Dist S
...•-
legol Description - %
�+ o r 2 2 /tel! //./"i�'j
,'�/�
�QG`
F' S S
R
Zone Restrictions
Group
Type '
SMI Fee g
Plumbing Fee
Dbl $
Bond Amt.
S
-
Won
Checker
Finol Date •
�/
Ins for
Unit
Sp.' Insp. Fee S
Demol. Fee
g
Const. Lender -Branch
f
Supplimental Permit Numbers
.. �G P
Regisir. Fee g
Mileage Fee $
Address City Zip
Witness Fee - g
Reinsp. Fee
S
Owner/Agen (
Tel.
•
Zip
Total Fees -
S
�.
Address - �'!
'City --
Zip
M.O. 0 N.C. Cash Q Check
Received, by '
Contractor
Tel.
1
Lice -ell
Trees
S age System
Address
City- Zip
T LL_</111, p THIS PERMIT SHALL BECOME VOID'IF WORK 15 NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK'
Sower District
FOR 120' DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.
' s .I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE'IN ACCORDANCE WITH
THE, LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA.
I HEREBY CERTIFY JHAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN
Form 284.208 (Rev. 1/80) C CE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.
verified by: